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In Canada, for these more complex jobs, one doc to look into is Michel Gagner, who I think is in Montreal. I don't know how that works for you on location or on insurance coverage, but he was in on some of the early DS work and does a lot of complex revisions and procedures, so is worth checking out.

Are you getting the sleeve, bypass or a revision or would you like to talk about anything else? I'm understanding, my friend is getting a revision on the 24th and we've been focusing on other topics for now. These group can be the support you need...

Thank you all for the question and responses, I was thinking the same thing. I did the liver shrinking diet prior to lapband removal, I have lost and at a 40 BMI. I do have co-morbidities as well. I was wondering as well the what if. I still have 4 more visits w/dietitian. How long after removal of lapband did anyone have the revision to GBP? I was told 3 mths and my doctor has said 6mths. I was hoping to have it done before the year is up d/t paying a very very high co-payment for lap-band removal.

This is a tricky one, as the bypass is difficult to revise. The most common things that are done are basically minor tweaks to your existing bypass - either putting a lapband over the pouch, or tightening up the stoma to try to restore some restriction. Neither seems to have a very good record of success. The most successful thing that I have seen is to revise it to a duodenal switch, but that is a very complex procedure, and there are only a handful of surgeons (maybe half a dozen) around the country who can do it. The other thing that is sometimes done, as the DS is too complex for most, is to convert to a distal RNY, which basically moves the pouch much further down the intestinal tract increasing the malabsorption, but that seems to be more trouble prone than the other alternatives.

Has anyone had previously had a rny and gotten a revision? In the last 2 years o got pregnant and have since put back on the weight even if I'm watching what I'm eating. I feel my absorption is back to normal. Sent from my SM-G960W using BariatricPal mobile app

I will be having revision in Summerville in September. Good luck!!!!

Most any surgery that you can contemplate, in addition to the basic risks associated with surgery, hospitals and anesthesia, will have some risk of side effects that may be less than desirable, however we take those risks in order to correct a problem that we have created by injury, disease or genetics, with the intent that the result will be much better than what we started with. The various bariatric procedures have different predispositions to consider - conditions that happen more commonly than in the general population. The VSG is predisposed to GERD as the stomach volume is reduced much more than its' acid producing potential, and while usually the body adjusts and corrects the problem, sometimes it doesn't completely. Similarly, the RNY is predisposed to marginal ulcers (typically around the anastomosis) because the part of intestine to which the stomach pouch is attached is not resistant to the stomach acid like the duodenum is (the part of intestine immediately below the stomach outlet, which is bypassed along with the remnant stomach.) Likewise, it is also predisposed to dumping and reactive hypoglycemia owing to more rapid stomach emptying due to the lack of pyloric valve. Usually, these problems don't hit most patients, or don't persist if they do, but sometimes they are long term problems. These are things to consider ahead of time, particularly if one has any relevant pre-existing condition. Another consideration is that the VSG is fairly easy to revise if it does run into a problem that can't be resolved otherwise, while the RNY is difficult to revise or reverse. Another point to consider is that while the sleeve leaves behind a relatively "normal" anatomy, the bypass leaves a blind stomach and upper intestine which is more difficult to examine endoscopically, so some problems may not be diagnosed until they are more advanced and symptomatic. For instance, if one is subject to stomach polyps, that is a pre-cancerous condition that should be monitored, but is difficult to do after a bypass. An pre-op endoscopy is a good idea to understand what is happening inside you, even if your program doesn't require one. On the diabetes front, they both do well, typically seeing 75-85% remission rates (remission is what it is, rather than a "cure" - it can come back, particularly with some weight regain) though the bypass is generally considered to be marginally better. The best results come from the Duodenal Switch which typically shows remission rates in the 98-99% range, but that is a more complex procedure that few surgeons offer. However, if the diabetes fails to go into remission, or comes back, after a VSG, a revision to the DS is straightforward (as the DS uses the VSG as its basis) while revising an RNY to a DS is very complicated, which only a handful of surgeons are able to perform. So, while the VSG may not be quite as good as the RNY in that respect, it has a much more viable "plan B".

Welcome back, though I’ve been gone a while and only just found out you had a surgery! Did something happen to prompt the revision?

the second part of this isn't true - bypass usually improves or even cures GERD. In fact, many sleevers who develop severe GERD (and certainly not all will - but a significant minority) revise to bypass for that reason.

I had my revision sleeve done 7/3 and I’m in a stand still for weight loss right now. I haven’t lost a pound since I started the purée stage. Anyone else have the problem of a stall? Mine is a week now with no weight loss

Alright so, I'm a 29 year old female, I suffer from High Blood Pressure at this age (so upsetting), Diabetes. I have gone through the 6 month program at my clinic and I'm approved for surgery. My A1c is above 8 right now, so I'm just working on getting that lowered to ~8 at my next blood test, and I'm good to go to get sleeved. Now call me an idiot or a coward, but I am scared to get GERD after the surgery. I know, it sounds so stupid, for Christ's sake I have high blood pressure and Diabetes already, but I feel like if I go through something so drastic as to cut out 70% of my stomach, I just don't want to accumulate other diseases like GERD and still be bound to take medications everyday for other diseases acquired - does that make sense to anyone? I want to get this procedure done (And let me tell you, I am soo scared still to do it, but I know it is the best option for me considering my health status), I just feel like let's say I do get GERD, there is all this talk about sleevers down the line getting revisions, I don't wanna be a non-normal person getting surgeries and other procedures done all the time to feel normal. What advice can anyone give me to relieve my nerves? As of right now, I do sometimes get heart burn if I eat something spicy - i don't take any medications for it. I would say it happens 2-3 times a month. Is there a possibility I will get chronic GERD after surgery and I will need a revision done later on in life? Any advice would help me out!!! I'm a confused mess right now....

I scoured the forum for tips from people and came up with a revised list of things to try. I'll be adding to this and updating as time goes on but this is a lot to go on and gives me hope as I start my Pureed diet phase this weekend. Enjoy ! 1. Eggface Ricotta Bake (google it) 2. Green bean casserole (bariatric style) with canned chicken 3. Tuna casserole (bariatric style) with green Beans instead of peas 4. Mexican beef with cheese or beans with cheese (too carby for me--made me hungry too soon after eating) 5. Broccoli, spinach or cauliflower pureed with light cream cheese, lemon juice, s/p/g (steam the crap out of it first) 6. Smashed cauliflower with bacon and green onions (put in a food processor) 7. Any Soup or chili made bariatric style 8. Fish in foil pouches with lemon and spices/herbs. 9. zucchini sauteed with onion, tomatoes and herbs and pureed--can add any kind of lean meat.< /span> 10. yogurt/cottage cheese blends with berries. 11. Pureed black Beans with a bit of cheese 12. Yellow Split Pea Soup puree 13. Buffalo chicken Dip puree 14. Broccoli cheese Soup puree 15. Pureed Chicken Salad 16. 4 Cheese mashed cauliflower 17. Hummus - Roasted Red Pepper by Sabra 18. Eggface Cottage Cheese Bake (sub out cottage cheese for ricotta + parmesan + ps mozza shreds + low carb marinara) 19. Cottage cheese flavored with taco seasoning 20. Progresso chicken enchilada soup with mashed cauliflower & ground chicken pureed 21. Scrambled egg with a little milk and topped with a teaspoon of salsa 22. Pureed Italian sausage with a little green and red pepper with Spagetti sauce 23. Applesause (unsweetened) with a sprinkle of cinnamon 24. Pureed Lentil soup with shredded cheese 25. Shiitake mushroom pizza with ground chicken and pizza sauce and cheese on top - all put in blender. Sounds weird but really good https://www.cookinglight.com/recipes/loaded-cauliflower-soup https://www.food.com/recipe/shellys-baked-ricotta-324036

I scoured the forum for tips from people and came up with a revised list of things to try. I'll be adding to this and updating as time goes on but this is a lot to go on and gives me hope as I start my Pureed diet phase this weekend. Enjoy ! 1. Eggface Ricotta Bake (google it) 2. Green bean casserole (bariatric style) with canned chicken 3. Tuna casserole (bariatric style) with green Beans instead of peas 4. Mexican beef with cheese or beans with cheese (too carby for me--made me hungry too soon after eating) 5. Broccoli, spinach or cauliflower pureed with light cream cheese, lemon juice, s/p/g (steam the crap out of it first) 6. Smashed cauliflower with bacon and green onions (put in a food processor) 7. Any Soup or chili made bariatric style 8. Fish in foil pouches with lemon and spices/herbs. 9. zucchini sauteed with onion, tomatoes and herbs and pureed--can add any kind of lean meat.< /span> 10. yogurt/cottage cheese blends with berries. 11. Pureed black Beans with a bit of cheese 12. Yellow Split Pea Soup puree 13. Buffalo chicken Dip puree 14. Broccoli cheese Soup puree 15. Pureed Chicken Salad 16. 4 Cheese mashed cauliflower 17. Hummus - Roasted Red Pepper by Sabra 18. Eggface Cottage Cheese Bake (sub out cottage cheese for ricotta + parmesan + ps mozza shreds + low carb marinara) 19. Cottage cheese flavored with taco seasoning 20. Progresso chicken enchilada soup with mashed cauliflower & ground chicken pureed 21. Scrambled egg with a little milk and topped with a teaspoon of salsa 22. Pureed Italian sausage with a little green and red pepper with Spagetti sauce 23. Applesause (unsweetened) with a sprinkle of cinnamon 24. Pureed Lentil soup with shredded cheese 25. Shiitake mushroom pizza with ground chicken and pizza sauce and cheese on top - all put in blender. Sounds weird but really good https://www.cookinglight.com/recipes/loaded-cauliflower-soup https://www.food.com/recipe/shellys-baked-ricotta-324036

Forgot to update... I think 😁 Post revision to RNY, back home doing great & feeling good

Hi! I posted this in the revision board but that board is a ghost town :) haha. Am en route to have my lapband revised to the RNY (most likely- not sold on the sleeve...) and I am trying to figure out how much time off from work I need. When I had the lapband surgery, I spent a day in the hospital with gas pains and just a little sore. If I had the job I have now back then (middle school teacher- so I can be fairly sedentary if needed) I think I would’ve been able to go back to work within a few days. I mean, I just had a baby with no drugs, had to be stitched and I was going on long walks the day after. I also had ankle reconstruction and went back to work in 4 days (including a weekend). Not saying that I am super tough, just a seasoned surgery patient- there are way more that I could list :) Those who have had both surgeries, how do you think the recovery time and pain compares? Thanks! Amanda

Wow, it's all so different. I was allowed protein waters right after my revision and shakes within a couple of days.

Love the accessory of the day!!!! And adorable figure. I agree, what puff and stuff? Congrats on your most excellent revision, on not whining, and on being such a trooper!!!

⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡⚡ Ok here's the details on why I needed a revision: 1. Stricture at Incisera/spiraled sleeve- confirmed through testing and in surgery (no way to fix both issues without revision surgery) 2. GERD- I NEVER had it prior to surgery. It was a side effect. It was caused (surgeon believes) by the stricture I had at the incisera. This was confirmed through endo and surgery. 3. Hiatal Hernia- no explanation needed. 4. Gastritis- had this prior to first surgery and never resolved itself but hopefully now it will 5. Adhesions- plenty and plenty and plenty that NEEDED to be removed. Here's why youve never heard about any of these things until now: I still lost weight with the issues i had... They did not stop me from making better choices and working hard with the hand i was given. Plus complaining here would just scare people out of something that could benedit them immensely. I did all of my wailing to my surgeons and they took my concerns seriously. 💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜💜 Hope this helps someone. These complications especially clustered like this are rare. Surgery was still completely worthwhile. This may never ever happen to you. You do not have to fail at WL because of complications. You do not have to regain because of complications. You DO have to check in with your team and make them aware so they can help you.

Did you have to do the same pre op diet for your revision? I know that it varies widely from dr to dr but I am curious

I got sleeved 5 years ago and had terrible reflux/GERD every single day since. My esophagus is a mess! Doctor said RNY bypass is the way to go & I’m having revision on Monday. Doctor said that every single patient he did revision to RNY for bypass for no longer suffered from reflux. I’ll let you know how it goes, but don’t jump the gun and get the sleeve.

Thank you so much for posting. I am the first person that I have known to get a revision done. How much weight did you shed after the revision? This is amazing!

I had Gastric Bypassed Revision! I love it!! I had it revised after 17 yrs. I haven’t had any problems so far and I’m still losing weight. My revised date was August 11, 2017

I saw dr and got my results back from the bravo test yesterday. My acid levels were off the charts I am revising to bypass.

Yes it is my dr was telling me that they are having good tesukts with it. I am not comfortable doing it so am opting to go for revision surgery.

Don't be discouraged. And by no means consider a revision, you have to feel better than you did. You were, I'm sure told that you would hit a plateau, as we all do. To kick start it again, take a couple days and do protien drinks or have protien drinks during the day and have a light meal, push through. The first 5 months the weight goes so fast, you want that to keep up, but it can't and doesn't. Keep pushing through. Seek support groups to help with this, if needed. I think the key is to kickstart it again and I was told that going back to liquids for a couple days would help do that. I too feel like my appetite is pretty good, but then when I'm actually eating, I can't finish all that much, so just because you want to eat it all, your probably not - or don't let yourself, find something else to do. Keep up the good work, no matter how little that may seem to be some weeks - it will all be worth it in the end!!